| NPI | 1922262211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209010499) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71003821B) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28172140) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2018-03-17 |